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Wallace Carrillo-medina Dmd Ms Pa
Orofacial Pain Dentist in Asheboro, North Carolina
NPI 1689290173

Wallace Carrillo-medina Dmd Ms Pa is a Orofacial Pain Dentist based in Asheboro, NC and is specialized in Orofacial Pain. Wallace Carrillo-medina Dmd Ms Pa practices in Asheboro, NC. The NPI Number for Wallace Carrillo-medina Dmd Ms Pa is 1689290173 and holds a License No. (North Carolina).

The current practice location address for Wallace Carrillo-medina Dmd Ms Pa is 511 Greensboro St, Asheboro, NC and can be reached out via phone at 336-629-3112 and via fax at 336-629-4251.

Location: 511 Greensboro St, Asheboro, NC, 27203-4736
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689290173
Provider Name
Wallace Carrillo-medina Dmd Ms Pa
Credential
Provider Entity Type
Organization
Address
511 Greensboro St, Asheboro, NC, 27203-4736
Phone Number
336-629-3112
Fax Number
336-629-4251
Provider Enumeration Date
06/19/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
511 Greensboro St
City
Asheboro
State
North Carolina
Zip
27203-4736
Phone Number
336-629-3112
Fax Number
336-629-4251
person
Provider Business Mailing Address Details
Address
511 Greensboro St
City
Asheboro
State
North Carolina
Zip
27203-4736
Phone Number
336-629-3112
Fax Number
336-629-4251
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Orofacial Pain
Taxonomy
1223X2210X
License No.
()
Definition
A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.
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Similar Doctors in Asheboro, North Carolina:

institution
Wallace Carrillo-medina Dmd Pa
NPI 1558869917
Orofacial Pain Dentist
511 Greensboro St,
ASHEBORO, NC
27203-4736
732-692-6929
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